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Our Associations

454 East Center Street
Marion, Ohio 43302
Tel: 740-387-4311
Fax: 740-387-5988
Email: scharer@scharerinsurance.com



Business Group Health Insurance Quote

Group Name:  
Group Contact:  
Group Address:  
City, State & Zip:  
E-Mail Address:  
Telephone:  
Fax:  
Current Health Carrier:  
Carrier Contact:  
# of employess:  
Effective Date:  
How long in business:  
Cobra Employees:  
Worker's Compensation?:  Employees in waiting period:  

Census
Name , Age
Dependent Status
Zip Code
Waiving

Add any additional comments or information that may assist us in your quote below:

Note: By submitting this form you understand that no coverage is bound unitl you receive written notice.


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We are licensed in Ohio.  Copyright 2007 Scharer Insurance, Inc. All rights reserved.